内毒素介导动物急性肾功能衰竭机理的试验研究

为了阐明内毒素介导急性肾功能衰竭的机理,观察了内毒素性肾功能衰竭家兔血液凝固性变化和肾脏的病理形态学变化。与对照组家兔比较,模型组家兔血小板计数和血浆纤维蛋白原含量极显著降低(P<0 01),出血时间、凝血时间、凝血酶原时间和白陶土部分凝血活酶生成时间显著或极显著延长(P<0 05,P<0 01)。另一方面,内毒素注射在全部模型组家兔导致了弥漫性血管内凝血,71.4%的肾小球中发现了微血栓,肾小球纤维素密度指数达60 6%。此外,96.2%的肾小管上皮细胞变性坏死,84.1%的肾小管中有管型形成。对照组家兔均未发现这些病理变化。上述试验结果揭示,内毒素引发了弥漫性血管内凝血,而肾小球毛细血管内广泛形成的微血栓阻断了肾小球毛细血管血流,从而导致肾小球滤过率降低,这是内毒素介导急性肾功能衰竭的首要机理。此外,肾小管上皮细胞的变性、坏死可损害其重吸收和分泌功能,管型形成可阻塞肾小管管腔并增大肾球囊内的压力,这些也都是在内毒素介导急性肾功能衰竭发生发展过程中起重要作用的因素。     

Contrast‐Enhanced Ultrasound Examination for the Assessment of Renal Perfusion in Cats with Chronic Kidney Disease

Background

Contrast‐enhanced ultrasound examination (CEUS) is a functional imaging technique allowing noninvasive assessment of tissue perfusion. Studies in humans show that the technique holds great potential to be used in the diagnosis of chronic kidney disease (CKD). However, data in veterinary medicine are currently lacking.

Objectives

To evaluate renal perfusion using CEUS in cats with CKD.

Animals

Fourteen client‐owned cats with CKD and 43 healthy control cats.

Methods

Prospective case‐controlled clinical trial using CEUS to evaluate renal perfusion in cats with CKD compared to healthy control cats. Time‐intensity curves were created, and perfusion parameters were calculated using off‐line software. A linear mixed model was used to examine differences between perfusion parameters of cats with CKD and healthy cats.

Results

In cats with CKD, longer time to peak and shorter mean transit times were observed for the renal cortex. In contrast, a shorter time to peak and rise time were seen for the renal medulla. The findings for the renal cortex indicate decreased blood velocity and shorter total duration of enhancement, likely caused by increased vascular resistance in CKD. Increased blood velocity in the renal medulla has not been described before and may be because of a different response to regulatory factors in cortex and medulla.

Conclusions and Clinical Importance

Contrast‐enhanced ultrasound examination was capable of detecting perfusion changes in cats with CKD. Further research is warranted to assess the diagnostic capabilities of CEUS in early stage of the disease process.     

农村金融深化促进了农村产业融合发展吗?——基于区域差异视角的实证分析

在当前全社会高度重视金融服务乡村振兴的背景下,厘清农村金融深化对农村产业融合发展的影响至关重要。基于金融深化理论,利用2008—2017年中国省际面板数据,在测算农村产业融合发展水平和农村金融深化程度的基础上,采用FGLS方法和SYS-GMM方法,系统考察了农村金融深化对中国农村产业融合发展的影响及其区域差异。结果表明,农村金融深化程度和农村产业融合发展水平由2008年的1.029 5和1.039 3上升到2017年的2.717 4和2.604 8,年均增长率分别为11.39%和10.75%。农村金融深化显著促进了中国农村产业融合发展水平的提升,且这种影响存在明显的区域差异,相比于中西部地区,农村金融深化对农村产业融合发展的提升作用在东部地区更加显著。运用面板门槛模型检验发现,地区之间农村金融深化程度、农村人力资本水平和交通基础设施水平的不同,是造成农村金融深化对农村产业融合发展的影响存在区域差异的重要原因。因此,提出不断增加农村产业融合发展的金融供给,因地制宜实施农村产业融合发展的促进政策等建议。     

Specific ion effect of H+ on variably charged soil colloid aggregation

Specific ion effects (Hofmeister effects) have recently attracted the attention of soil scientists, and it has been found that ionic non-classic polarization plays an important role in the specific ion effect in soil. However, this explanation cannot be applied to H⁺. The aim of this work was to characterize the specific ion effect of H⁺ on variably charged soil (yellow soil) colloid aggregation. The total average aggregation (TAA) rate, critical coagulation concentration (CCC), activation energy, and zeta potential were used to characterize and compare the specific ion effects of H⁺, K⁺, and Na⁺. Results showed that strong specific ion effects of H⁺, K⁺, and Na⁺ existed in variably charged soil colloid aggregation. The TAA rate, CCC, and activation energy were sensitive to H⁺, and the addition of a small amount of H⁺ changed the TAA rate, CCC, and activation energy markedly. The zeta potential results indicated that the specific ion effects of H⁺, K⁺, and Na⁺ on soil colloid aggregation were caused by the specific ion effects of H⁺, K⁺, and Na⁺ on the soil electric field strength. In addition, the origin of the specific ion effect for H⁺ was its chemical adsorption onto surfaces, while those for alkali cations were non-classic polarization. This study indicated that H⁺, which occurs naturally in variably charged soils, will dominate variably charged soil colloid aggregation.     

Contrast enhanced ultrasonography of kidney in conscious and anesthetized beagle dogs

Contrast enhanced ultrasound (CEUS) is useful to evaluate tissue perfusion in the kidney. In veterinary medicine, sedation or anesthesia may be required in uncooperative or panting patients. The aim of this study was to evaluate and compare the normal kidney perfusion patterns in conscious and anesthetized dogs using CEUS. Eight healthy beagles were used in this study. Scanning was performed in conscious dogs using manual restraint (conscious group), or under general anesthesia using tiletamine-zolazepam and medetomidine (TZM group) or medetomidine (M group). The contrast agent (Sonovue^®) was administered as an IV bolus. The peak intensity (PI), time to peak enhancement from injection (TTP₀) and the time to peak enhancement from the initial rise (TTP_up), upslope, downslope and area under the curve (AUC) were analyzed. Compared to the cortical values in the conscious group, TTP₀ was significantly delayed in the TZM group, and upslope, TTP₀ and TTP_up were significantly different in the M group. The AUCs in the TZM and M groups were not different from those in the conscious group. The upslope of renal medullary perfusion was significantly decreased in the TZM and M groups. TTP₀ and TTP_up were also significantly delayed in these groups. The AUC of the medulla was significantly decreased in the M group. Therefore, TZM is useful as an anesthetic protocol when performing CEUS, and the obtained data may serve as reference values in the evaluation of renal perfusion using CEUS in dogs under anesthesia.